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THURSTON COUNTY

AFFORDABLE & HOMELESSHOUSING PROGRAMS

2013 COORDINATED GRANTREQUEST FOR PROPOSAL

GUIDELINES

2013 RFP: Affordable and Homeless Funding Page 1

NOTICE OF FUNDING AVAILABILITY

PROGRAMS: Affordable and Homeless Housing

APPLICATIONS AVAILABLE: May 20, 2013

APPLICATIONS DUE DATE: Friday, June 21, 2013, no later than 4:00 PM Late applications will not be accepted.

CONTRACT EFFECTIVE START DATE: September 1, 2013

SUBMIT TO: Thurston County Public Health & Social ServicesHousing and Community Renewal ATTN: Kathy Cooper, Program Coordinator412 Lilly Rd NEOlympia, WA 98506-5132

**************************************Phone: (360) 867-2544Email: [email protected]

Application packets will be available at the address listed above, and downloadable from the department’s website at: www.co.thurston.wa.us/health /sscp , under “Hot Topics” (right side of the page).

FUNDING: Thurston County will provide up to $254,735 in Affordable Housing funds and $1,088,168 in Homeless Housing funds towards projects that provide affordable housing or meet one (1) or more of the Ten-Year Homeless Housing Goals and Objectives outlined on page four (4) of this document.

Total Available Funding: $1,342,903

Questions related to this notice may be directed to: Kathy Cooper at (360) 867-2544 or by emailing [email protected]. Technical Assistance is available upon request.


mailto:[email protected]

http://www.co.thurston.wa.us/health


Section A

General Guidelines and Instructions

All Projects


THURSTON COUNTY AFFORDABLE HOUSING AND HOMELESS HOUSING GUIDELINES

INTRODUCTION The Washington State Legislature passed two major sources of housing legislation to fund the Affordable Housing Program (House Bill 2060) and the Homeless Housing Program (House Bill 2163). Funding for both programs is derived from portions of a surcharge fee on recording documents that are shared between the state and counties.

TEN-YEAR HOMELESS HOUSING GOALS AND OBJECTIVESThurston County and the HOME Consortium have recently committed to invest in a twelve (12) month project to study the existing system of homeless housing and services in Thurston County. This effort will assess where needs are and strive to make the system more efficient and effective. The Consortium is interested in funding programs and projects that meet one or more of the following top five gaps identified in Thurston County’s Homeless System based on the Homeless system gaps Analysis completed April 30, 2013:

Youth Shelter Youth Bridge Program Low Barrier Shelter Program for Adults Rapid Rehousing for Families Permanent Supportive Housing for Adults Priority consideration will be given to proposals utilizing successful program models (e.g.

Rapid Re-housing or Single Point of Entry referral and support systems); Priority consideration will be given to programs and projects that can be implemented in a

timely manner and that are ready to move forward.

ELIGBILE APPLICANTS Non-profit organizations, local municipalities within the county, for-profit developers, and faith-based organizations that provide affordable housing in accordance with the requirements of the Affordable Housing Program and Homeless Housing Program.

PROGRAM FUNDING AND ELIGIBLE ACTIVITIESThe Affordable Housing Program (2060) assists in the development and preservation of affordable low-income housing (households at or below 50% if the area median income) that address critical local housing needs. Eligible activities include:

Capital Projects : acquisition, construction, or rehabilitation of housing projects that are affordable to low-income persons at or below 50% of the area median.

Rental Assistance : Housing vouchers for non-homeless persons below 50% of median income, which may be for short or long term use, and for tenant-based or project-based use.

Rapid Rehousing programs


The Homeless Housing Program (2163) assists homeless persons and families. Eligible activities include:

O&M costs for emergency shelters and licensed overnight youth shelters; Rental Assistance for homeless or persons below 30% of the median income, or are in

immediate danger of becoming homeless; Costs of developing affordable housing and services for formerly homeless persons residing

in transitional housing or permanent housing; Rapid Rehousing programs; Rental and furnishing of dwelling units; Outreach services; Temporary services to assist persons leaving state institutions and other state programs; Services to prevent homelessness, such as emergency eviction and prevention programs,

including temporary rental assistance, and coordinated assessment and entry programs; Operating subsidies for transitional housing or permanent housing; Other activities to reduce and prevent homelessness as identified in Thurston County’s Ten-

Year Homeless Plan; Development and management of local homeless plans including homeless census data

collection, goals, performance measures, strategies, and cost and evaluation of progress towards established goals.

Operation and Maintenance Funds (O&M) assist housing programs experiencing a hardship in maintaining current level of services. Eligible activities include:

O&M costs for emergency shelters and licensed overnight youth shelters; On-site salaries and benefits including all personnel costs directly associated with

operating the building; Off-site management including overhead and personnel costs that are necessary to

operate the building, but are not located at the site; The cost of a financial audit in relation to the total Thurston County investment in the

project; Administrative expenses such as, but not limited to, accounting, legal, advertising and

marketing, insurance, collection loss, and real estate taxes; On-going maintenance expenses such as materials, janitorial supplies, maintenance

contracts, security, and other maintenance expenses.


PROJECT EVALUATION CRITERIA

Affordable and Homeless Housing Projects

The organization’s proposal will be evaluated on a competitive and comparative basis with other proposals and rated on a point scale with a maximum of 100 points.

PROPOSALS WILL BE EVALUATED AND RATED BASED ON A POINT SYSTEM USING THE FOLLOWING GENERAL CRITERIA:

RATING CRITERIA

(1)

HOUSING NEED – What is the extent of the project need and the extent to which the funded activity is consistent with the Ten-Year Homeless Goals and Objectives? How effectively and efficiently can the project meet the need? What best practices are being used? How effective is the program model? (50 points)

READINESS – How well does the organization leverage other funding sources? To what extent are all necessary financial and non-financial project participants firmly committed? How ready is the project to proceed? How accurate and reasonable are the budget documents? What potential obstacles may impact the timeliness of the project? (30 points)

ORGANIZATIONAL CAPACITY – Does the organization have the financial, technical and administrative experience to manage the project? Does the organization have the capacity to successfully complete the stated goals? To what extent has the organization successfully performed under previous Consortium contracts? What is the extent of partner collaboration and coordination? (20 points)


SUBMISSION PROCEDURES

The following forms are threshold requirements and must be submitted with the proposal:

Project Summary Application Form; Narrative Statements (limit to 10 pages for all questions); All required forms; A copy of the organizational chart; Secretary of State Registration (if not on file with PHSS-Housing); A copy of your last Audited Financial Statement (if not on file with PHSS-Housing).

Please submit one (1) application package per project. Each project must have a unique identifying name.

Note: Incomplete or missing documents may impact the eligibility of your project. Depending on the complexity of the project, you may be required to provide additional information.

Proposals (Original and Electronic) are due no later thanJune 21, 2013 at 4:00 PM

.Submit one (1) original and two (2) hard copies, and one (1) electronic copy of the proposal to:

Thurston County Public Health & Social ServicesHousing and Community Renewal

ATTN: Kathy Cooper, Program Coordinator412 Lilly Rd NE

Olympia, WA 98506-5132**************

Phone: (360) 867-2544Email: [email protected]

Electronic versions of the forms may be requested by contacting Kathy Cooper.



FORMAT REQUIREMENTS

Print Size – No smaller than 12 point font.

Spacing – Double spaced.

Narrative responses no more than ten (10) pages total.

Source Documentation – Provide all source documents as attachments. If the documents exceed two pages, excerpt or summarize them and note the source(s).

Letters of Support – Letters documenting participation or support by sectors of the community or letters verifying contribution of resources are appropriate. These letters should be submitted as attachments to the application.


TERMS AND CONDITIONS OF FUNDING

1. All projects must serve very low-income persons (50% of median income) or lower (30%);

Thurston County 2013 Median Income Limits

Percent 1 Person 2 Person 3 Person 4

Person 5 Person 6 Person 7 Person 8 Person

30% $16,250 $18,600 $20,900 $23,200 $25,100 $26,950 $28,800 $30,65050% $27,100 $30,950 $34,800 $38,650 $41,750 $44,850 $47,950 $51,050

2. All successful applicants are required to adhere to HUD’s Fair Housing Act standards and State laws that govern the landlord-tenant relationship as set forth in RCW 59.18;

3. All housing projects must adhere to and meet HUD Housing Quality Standards and Thurston County’s Housing Property Standards;

4. All capital projects may require the use of a Restrictive Covenant against the property in the event the property is sold or is no longer considered affordable;

5. All successful non-capital applicants will provide a quarterly logic model report and performance measurement reports to the county;

6. Successful capital applicants will provide a quarterly narrative progress report to the county;7. All successful applicants will bill the county at least quarterly by the 10 th of the month

following the end of the quarter;8. All applicants must be in good standing with all of its grantors and funders;9. All applicants must have had NO audit findings or exceptions during the last 5 years;10. All applicant must have NO pending litigation;11. All applicants use HMIS for data management;12. All applicants have the capacity to operate the program on a cost-reimbursement basis;13. All applicants are part of the local continuum, local ten year planning process, local

homeless network, etc.;14. All capital projects may use up to 5% of the funding award for administrative costs;15. Thurston County reserves the right to negotiate additional terms and conditions as deemed

appropriate.


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Section B

Non-Capital Projects Only


REQUEST FOR PROPOSALS2013 APPLICATION CHECKLIST

CHECKLIST FOR RAPID RE-HOUSING, OPERATIONS & MAINTENANCE RENTALASSISTANCE, CASE MANAGEMENT, AND OTHER SERVICES APPLICATION

1. Complete and sign Project Summary Application

2. Narratives:

Need Statement

Readiness Statement

Organization Capacity Statement

3. Forms:

Program Budget - Form 1

Project Performance Measurement - Form 2

High Performing Program Designation - Form 3

Project Area Benefit - Form 4

Project Work Plan - Form 5

4. Submit Staff Organizational Chart

5. Secretary of State registration with the application (if not already on file with PHSS-Housing)

6. Submit most recent financial audit report (if not already on file with PHSS-Housing)


2013 AFFORDABLE AND HOMELESS HOUSING PROGRAMS APPLICATIONProject Summary Form

Organization/Agency Name: Tax Identification Number (TIN):

DUNS #:

Mailing Address: City: State: Zip: Telephone: Website: Type of Agency:Check one (1) agency type. Nonprofit community or neighborhood-based organizations and regional or statewide nonprofit housing assistance organizations must submit a copy of the Secretary of State registration with the application (if not already on file with PHSS-Housing).

Local government Nonprofit community or neighborhood-based organization Regional or statewide nonprofit housing assistance organization

Funding Amount Requested:Year 1 $ Year 2 $ (For High Performing Programs only. See Form 6)Total requested $ Audit Information:Date of last audit: Type of audit: Name of company performing the audit: Audit findings or management letter: No Yes, please detail:

License(s):If required by local government, do you have the necessary license to operate this proposed housing program?

Yes N/A No, please explain: Contacts:

Executive Director Program Contact Finance ContactName: Title: Address:(*if different from mailing)

Phone: Fax: E-Mail: ProjectProject Name: Project Location/Address: Project Summary: (provide a brief summary of the project and the targeted population)


Project Type: (Check all boxes that apply)Acquisition Permanent housingNew construction Special Needs housingHomeowner rehabilitation Transitional housingHomebuyer assistance Rapid Re-housingRental Assistance Other:O & M Other:Case Management Other:

Total Budget: Source Proposed Committed TotalAffordable Housing $ $ $ Homeless Housing $ $ $ Other Local Public $ $ $ Private $ $ $ Other: $ $ $ Other: $ $ $ Total $ $ $

Housing Project Readiness

Project Start Date (after Aug. 31st): Estimated Project Completion Date:

I attest that all information, including program responsibilities and associated budget, described herein for our agency as an applicant for the 2013 Homeless and Affordable Housing Funding has been reviewed, and is true and accurate.Submitted by Executive Director or other Authorizing Official

Authorized Signature Date Name (typed or printed) Title


Project Households Benefiting:What is the number of low-income households that will benefit from this project? Use current year HUD Income Limits for family size.At or below 30% of Median Income: At or below 50% of Median Income: TOTAL Number of Households:

NARRATIVES

I. HOUSING NEED STATEMENT(50 points)

Purpose Statement: To assess the degree and extent of need and the effectiveness of the proposed solution (project).

1. Describe the compelling need within the community and how your project will specifically address that need.

2. Describe your proposed project. Be specific and include who will benefit, how many units will be produced, or number of households served. If you are applying for rental assistance funding:

a. Describe the type of program;b. The duration of assistance;c. Estimated per household subsidy amount;d. Estimated administrative costs to operate the program (not including case

management costs); ande. Estimated case management costs, if any.

3. How effective and efficient is your approach to meeting the need?

4. What best practices are being used and the model of service delivery?

5. Describe and identify how the project is consistent with the County’s Ten-Year Homeless Goals and Objectives identified on page four (4).

6. Identify any homeless or special need populations that will be served. Describe how the unsheltered homeless population will be reduced.

7. If this is a Capital Project involving acquisitions, new construction, or substantial rehabilitation, also include: The physical description of the project, location, and unit square footage. Attach any preliminary designs or drawings and site photos.


II. PROJECT READINESS STATEMENT(30 Points)

Purpose Statement: To evaluate the project’s financial feasibility and effectiveness in implementing and completing the project in a timely manner.

1. Provide a brief narrative identifying the amounts and sources of other project funds that will be leveraged. Identify what funds are committed and explain when all uncommitted funds will be secured. The response must also address:

How the requested funds will be used in the project; How other funding sources will be used; What potential obstacles may impact the timeliness of your project?

2. If the project is a capital or construction project involving acquisition and/or new construction, provide evidence of site control or describe when site control will be secured.


III. ORGANIZATIONAL CAPACITY STATEMENT(20 Points)

Purpose Statement: To evaluate the organization’s financial, technical, and administrative capacity to successfully manage the project.

1. A brief history of your organizational experience in managing housing programs or services.

2. A brief history of other funding received under previous Consortium contracts and the results.

3. Describe how the funds will be used.

4. Identify the amount of the existing gap between your revenue and operating costs, and the amount of funding requested.

5. Describe how your organization intends to cover expenses beyond the next twelve (12) months.

6. Explain how your organization has historically resolved budget shortfalls.

7. Describe the impact on the project or program if it is not funded.

8. Clearly explain in detail the staffing and resources needed to implement the project.

9. Describe your organization’s administrative and technical experience to implement the project or services.

10. Describe efforts to collaborate and coordinate with other partners regarding the project/program.


Form 1Program Budget

11.12.


PROJECT NAME:

CATEGORYHomeless Housing

FUNDS OTHER FUNDS Total Explanation/Justification (Identify)Personnel Salaries and Wages Personnel Benefits Education and Training Travel Rent/Lease Utilities Taxes Insurance Equipment Materials and Supplies Supplies Off-Site Management REVENUE SOURCES

Total Operating Total Revenue

Form 2 – Performance MeasurementMeasure Qtr. 1 Qtr. 2 Qtr. 3 Qtr. 4 Total System Standards

Target Actual Target Actual Target Actual Target Actual Target Actual PREVENTION

Number of households served Plus or minus 10% of target with explanation for variance

Number still housed at 6 month follow-up

At least 90% will maintain housing at 6 month follow up.

SHELTER

Number of individuals exiting to another shelter or transitional housing

At least 75% will exit to shelter, transitional housing, or permanent housing

Number of individuals exiting to permanent housing

RAPID REHOUSING Average length of stay in days Less than 90 daysNumber of individuals exiting to permanent housing

At least 75% will maintain housing at 6 month follow up.

TRANSITIONAL HOUSING Average length of stay in days Less than 2 yearsNumber of individuals exiting to other transitional housing

At least 75% will exit to shelter, transitional or permanent housing

OCCUPANCY Program occupancy rate % At least 90%.

RECIDIVISM Number of individuals returning to homelessness within a year

Recidivism rate (total number returned to homelessness/total number served)

Less than 5% return to homelessness within a year.

Comments: Explain any variation between the target goal and actual performance: Explain method used to project households served if different than the suggested methodology:


Form 3Request for High Performing Program Designation

Thurston County has created a policy to designate High Performing Programs within the homeless housing and services system and to award two-year funding grants if selected in the regular RFP process.

It should be noted that programs that are not exiting households in the HMIS system in a timely manner or that are not yet entering complete sets of data into HMIS may not qualify for this designation this first year (HMIS technical assistance outreach and trainings are being planned for late summer and early fall).

High performing programs must meet all of the following performance standards, at a minimum, to receive this designation. Applicants must also provide HMIS printed reports with this application as documentation of the performance standards listed below:

Good Capacity Usage Households served must be at or above 90% of program capacity.

Lowering Length of Stay Shelters must maintain an average length of stay of 90 days or less. Transitional housing must maintain an average length of stay of two years or less. Rapid Rehousing must maintain an average length of stay of 18 months or less.

Successful Program Exits Number of exits to homelessness or an unknown destination is less than 25%.

Check if requesting High Performing Program designation. HMIS reporting attached

, requests the to be (Agency) (Program )

designated as a High Performing Program to be eligible for two-year funding awards.

NOT requesting high-performing program designation at this time.


Form 4Project Area Benefit

Indicate the number of units and people the project will serve:

Units Households PersonsBucoda Lacey

Olympia Rainier Tenino

Tumwater Yelm

Unincorporated County

TOTAL:


Form 5Project Work Plan

Instructions:Action Steps/Tasks: Identify the specific work tasks required to complete the project.Implementation Date: When the task begins.Expected Completion Date: When the task will be completedResponsible Party: who or what organization is responsible for completing the task.

Action Steps /Tasks Implementation Date Expected

Completion Date Responsible Party


Section C

Capital Requests Only


REQUEST FOR PROPOSALS2013 APPLICATION CHECKLIST

CHECKLIST FOR CAPITAL PROJECTS APPLICATION1. Complete and sign Project Summary Application

2. Narratives:

Housing Need Statement

Project Readiness Statement

Organization Capacity Statement

3. Forms:

Project Area Benefit - Form 4

Project Work Plan - Form 5

Project Pro-forma Budget (Capital Projects) - Form 6

Operating Revenue Pro-Forma Budget (Capital Projects) - Form 7

Income Level and Unit Size - Form 8

Special Needs Housing - Form 9 (if applicable)

Rental Vouchers - Form 10 (if applicable)

4. Submit Staff Organizational Chart

5. Secretary of State registration with the application (if not already on file with PHSS-Housing)

6. Submit most recent financial audit report (if not already on file with PHSS-Housing)


2013 AFFORDABLE AND HOMELESS HOUSING PROGRAMS APPLICATIONProject Summary Form


Project Type: (Check all boxes that apply)Acquisition Permanent housingNew construction Special Needs housingHomeowner rehabilitation Transitional housingHomebuyer assistance Rapid Re-housingRental Assistance Other:O & M Other:Case Management Other:

Total Budget: Source Proposed Committed TotalAffordable Housing $ $ $ Homeless Housing $ $ $ Other Local Public $ $ $ Private $ $ $ Other: $ $ $ Other: $ $ $ Total $ $ $ Housing Project Readiness

Project Start Date (after Aug. 31st): Estimated Project Completion Date:

I attest that all information, including program responsibilities and associated budget, described herein for our agency as an applicant for the 2013 Homeless and Affordable Housing Funding has been reviewed, and is true and accurate.Submitted by Executive Director or other Authorizing Official

Authorized Signature Date Name (typed or printed) Title


Organization/Agency Name: Tax Identification Number (TIN):

DUNS #:

Mailing Address: City: State: Zip: Telephone: Website: Type of Agency:Check one (1) agency type. Nonprofit community or neighborhood-based organizations and regional or statewide nonprofit housing assistance organizations must submit a copy of the Secretary of State registration with the application (if not already on file with PHSS-Housing).

Local government Nonprofit community or neighborhood-based organization Regional or statewide nonprofit housing assistance organization

Funding Amount Requested:Year 1 $ Year 2 $ (For High Performing Programs only. See Form 6)Total requested $ Audit Information:Date of last audit: Type of audit: Name of company performing the audit: Audit findings or management letter: No Yes, please detail:

License(s):If required by local government, do you have the necessary license to operate this proposed housing program?

Yes N/A No, please explain: Contacts:

Executive Director Program Contact Finance ContactName: Title: Address:(*if different from mailing)

Phone: Fax: E-Mail: ProjectProject Name: Project Location/Address: Project Summary: (provide a brief summary of the project and the targeted population)

Project Households Benefiting:What is the number of low-income households that will benefit from this project? Use current year HUD Income Limits for family size.At or below 30% of Median Income: At or below 50% of Median Income: TOTAL Number of Households:

NARRATIVES

I. HOUSING NEED STATEMENT(50 points)

Purpose Statement: To assess the degree and extent of need and the effectiveness of the proposed solution (project).

1. Describe the compelling need within the community and how your project will specifically address that need.

2. Describe your proposed project. Be specific and include who will benefit, how many units will be produced or households served. If you are applying for rental assistance funding:

a. Describe the type of program;b. The duration of assistance;c. Estimated per household subsidy amount;d. Estimated administrative costs to operate the program (not including case management

costs);e. Estimated case management costs, if any.

3. How effective and efficient is your approach to meeting the need?

4. What best practices are being used and the model of service delivery?

5. Describe and identify how the project is consistent with the County’s Ten-Year Homeless Goals and Objectives identified on page three (3).

6. Identify any homeless or special need populations that will be served. Describe how the unsheltered homeless population will be reduced.

7. If this is a Capital Project involving acquisitions, new construction, or substantial rehabilitation, also include: the physical description of the project, location, and unit square footage. Attach any preliminary designs or drawings and site photos.


II. PROJECT READINESS STATEMENT(30 Points)

Purpose Statement: To evaluate the project’s financial feasibility and effectiveness in implementing and completing the project in a timely manner.

1. Provide a brief narrative identifying the amounts and sources of other project funds that will be leveraged. Identify what funds are committed and explain when all uncommitted funds will be secured. The response must also address:

How the requested funds will be used in the project; How other funding sources will be used; What potential obstacles may impact the timeliness of your project?

2. If the project is a capital or construction project involving acquisition and/or new construction, provide evidence of site control or describe when site control will be secured.


III. ORGANIZATIONAL CAPACITY STATEMENT(20 Points)

Purpose Statement: To evaluate the organization’s financial, technical and administrative capacity to successfully manage the project.

1. A brief history of your organizational experience in managing housing programs or services.

2. A brief history of other funding received under previous Consortium contracts and the results.

3. Describe how the funds will be used.

4. Identify the amount of the existing gap between your revenue and operating costs, and the amount of funding requested.

5. Describe how your organization intends to cover expenses beyond the next twelve (12) months.

6. Explain how your organization has historically resolved budget shortfalls.

7. Describe the impact on the project or program if it is not funded.

8. Clearly explain in detail the staffing and resources needed to implement the project.

9. Describe your organization’s administrative and technical experience to implement the project or services.

10. Describe efforts to collaborate and coordinate with other partners regarding the project/program.


Form 4Project Area Benefit

Indicate the number of units and people the project will serve:

Units Households PersonsBucoda Lacey

Olympia Rainier Tenino

Tumwater Yelm

Unincorporated County

TOTAL:


Form 5Project Work Plan

Instructions:Action Steps/Tasks: Identify the specific work tasks required to complete the project.Implementation Date: When the task begins.Expected Completion Date: When the task will be completedResponsible Party: who or what organization is responsible for completing the task.

Action Steps /Tasks Implementation Date Expected

Completion Date Responsible Party


Form 6Project Pro-Forma Budget

(Construction Projects ONLY)

PROJECT NAME: HOME OTHER FUNDS OTHER FUNDS OTHER FUNDS

REQUEST (Identify) (Identify) (Identify) TOTALLand Building CONSTRUCTION * Rehabilitation Site work/Demolition Structures Construction Contingency Construction Loan Interest Construction Loan Origin Fee Construction Loan Other Perm Origin Fee DEVELOPMENT SOFT COSTS Appraisals Architect Developer Fee * Engineering Survey Environmental Relocation Payments Other Development costs CHDO Pre-Development Costs * Direct Financial Assistance Technical Assistance Seed Loan*

Total Costs * Denotes eligible CHDO activity


Form 7Operating Revenue Pro-Forma Budget

(Construction Projects ONLY)

REVENUES Year 1 Year 2 Year 3 Year 4 Year 5Gross Rental Income

Other Sources of Income + + +

Subtotal other revenue = Total Residential Income =

Vacancy Factor Less Vacancy (at %) -

Effective Gross Income = EXPENSES

Operating Expenses-- Utilities (heat and electric) Water & Sewer Garbage Removal Maintenance and janitorial Replacement Reserve Operating Reserve

Management Insurance Accounting Marketing Real Estate Taxes Other:

Total Expenses

Net Operating Income (Income - Total Expenses) = Debt Service Loan Rate Amortization Term

on Amount (%) (years) (years) Lender Lender Lender

Total Debt Service - Projected Gross Cash Flow =


Form 7 (continued)PROJECT NAME: CATEGORY Year 1 Year 2 Year 3 Year 4 Year 5OPERATING EXPENSESPersonnel Salaries and Wages Personnel Benefits Education and Training Travel Rent/Lease Utilities Taxes Insurance Equipment Materials and Supplies Supplies Off-Site Management REVENUE SOURCES Year 1 Year 2 Year 3 Year 4 Year 5

Total Operating Total Revenue

Form 8Income Level and Unit Size

% of Median Income Studio One Bedroom

TwoBedroom

ThreeBedroom

Four Bedroom

Totals

30% or below

50% or below

60% or below

80% or below


Form 9Special Needs Housing

Specify number of units/beds per target population and income level:

PopulationNumber at or below 30%

AMINumber at or below 50%

AMIBeds Units Beds Units

Homeless Seasonal farm workers Developmentally disabled HIV/AIDS Domestic violence Alcohol/substance abuse Chronically mentally ill Physically disabled Youth under 21 Frail elderly Other (please describe) Other (please describe)


Form 10Rental Voucher Assistance

30% of Median Income or Below Served

Number of Households

Household Size

Studio 1 Bedroom 2 Bedroom 3 Bedroom 4 Bedroom 5 Bedroom 6 Bedroom

TOTAL

50% of Median Income or Below Served

Number of Households

Household Size

Studio 1 Bedroom 2 Bedroom 3 Bedroom 4 Bedroom 5 Bedroom 6 Bedroom

TOTAL


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